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Urinary Incontinence Treatment in Bangalore

August 22, 2019 by AltiusHospital  

Urinary incontinence is the involuntary leakage of urine. It means a person urinates when they do not want to. Control over the urinary sphincter is either lost or weakened.


What is urinary incontinence?


Urinary incontinence is when a person cannot prevent urine from leaking out. It can be due to stress factors, such as coughing, it can happen during and after pregnancy, and it is more common with conditions such as obesity. The chances of it happening increase with age.


Bladder control and pelvic floor, or Kegel, exercises can help prevent or reduce it.






Many people experience occasional, minor leaks of urine. Others may lose small to moderate amounts of urine more frequently.


Types of urinary incontinence include:

  • Stress incontinence. Urine leaks when you exert pressure on your bladder by coughing, sneezing, laughing, exercising or lifting something heavy.
  • Urge incontinence. You have a sudden, intense urge to urinate followed by an involuntary loss of urine. You may need to urinate often, including throughout the night. Urge incontinence may be caused by a minor condition, such as infection, or a more-severe condition such as a neurologic disorder or diabetes.
  • Overflow incontinence. You experience frequent or constant dribbling of urine due to a bladder that doesn't empty completely.
  • Functional incontinence. A physical or mental impairment keeps you from making it to the toilet in time. For example, if you have severe arthritis, you may not be able to unbutton your pants quickly enough.
  • Mixed incontinence. You experience more than one type of urinary incontinence.




The causes and the type of incontinence are closely linked.


Stress incontinence


Factors include:

  • pregnancy and childbirth
  • menopause, as falling estrogen can make the muscles weaker
  • hysterectomy and some other surgical procedures
  • age
  • obesity


Urge incontinence


The following causes of urge incontinence have been identified:

  • cystitis, an inflammation of the lining of the bladder
  • neurological conditions, such as multiple sclerosis (MS), stroke, and Parkinson's disease
  • enlarged prostate, which can cause the bladder to drop, and the urethra to become irritated


Overflow incontinence


This happens when there is an obstruction or blockage to the bladder. The following may cause an obstruction:

  • an enlarged prostate gland
  • a tumor pressing against the bladder
  • urinary stones
  • constipation
  • urinary incontinence surgery which went too far


Total incontinence


This can result from:

  • an anatomical defect present from birth
  • a spinal cord injury that impairs the nerve signals between the brain and the bladder
  • a fistula, when a tube or channel develops between the bladder and a nearby area, usually the vagina


Other causes:


These include:

  • some medications, especially some diuretics, antihypertensive drugs, sleeping tablets, sedatives, and muscle relaxants
  • alcohol
  • urinary tract infections (UTIs)




Treatment for urinary incontinence depends on the type of incontinence, its severity and the underlying cause. A combination of treatments may be needed. If an underlying condition is causing your symptoms, your doctor will first treat that condition.


Your doctor is likely to suggest the least invasive treatments first and move on to other options only if these techniques fail.


Behavioral techniques


Your doctor may recommend:

  1. Bladder training, to delay urination after you get the urge to go. You may start by trying to hold off for 10 minutes every time you feel an urge to urinate. The goal is to lengthen the time between trips to the toilet until you're urinating only every 2.5 to 3.5 hours.
  2. Double voiding, to help you learn to empty your bladder more completely to avoid overflow incontinence. Double voiding means urinating, then waiting a few minutes and trying again.
  3. Scheduled toilet trips, to urinate every two to four hours rather than waiting for the need to go.
  4. Fluid and diet management, to regain control of your bladder. You may need to cut back on or avoid alcohol, caffeine or acidic foods. Reducing liquid consumption, losing weight or increasing physical activity also can ease the problem.






Medications commonly used to treat incontinence include:

  1. Anticholinergics. These medications can calm an overactive bladder and may be helpful for urge incontinence. Examples include oxybutynin (Ditropan XL), tolterodine (Detrol), darifenacin (Enablex), fesoterodine (Toviaz), solifenacin (Vesicare) and trospium (Sanctura).
  2. Mirabegron (Myrbetriq). Used to treat urge incontinence, this medication relaxes the bladder muscle and can increase the amount of urine your bladder can hold. It may also increase the amount you are able to urinate at one time, helping to empty your bladder more completely.
  3. Alpha blockers. In men with urge or overflow incontinence, these medications relax bladder neck muscles and muscle fibers in the prostate and make it easier to empty the bladder. Examples include tamsulosin (Flomax), alfuzosin (Uroxatral), silodosin (Rapaflo), doxazosin (Cardura) and terazosin.
  4. Topical estrogen. For women, applying low-dose, topical estrogen in the form of a vaginal cream, ring or patch may help tone and rejuvenate tissues in the urethra and vaginal areas. Systemic estrogen — taking the hormone as a pill — isn't recommended for urinary incontinence and may even make it worse.


Absorbent pads and catheters


If medical treatments can't completely eliminate your incontinence, you can try products that help ease the discomfort and inconvenience of leaking urine:

  • Pads and protective garments. Most products are no more bulky than normal underwear and can be easily worn under everyday clothing. Men who have problems with dribbles of urine can use a drip collector — a small pocket of absorbent padding that's worn over the penis and held in place by close-fitting underwear.
  • Catheter. If you're incontinent because your bladder doesn't empty properly, your doctor may recommend that you learn to insert a soft tube (catheter) into your urethra several times a day to drain your bladder. You'll be instructed on how to clean these catheters for safe reuse.


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Uterus Removal Specialist in Bangalore

August 8, 2019 by AltiusHospital  

At least once in a lifetime, many women are suffered from gynecological problems including diseases of the uterus (womb). Major treatment options of these problems are medical or surgical treatment. However, some diseases of the uterus could not be cured by medication, then operation for removal the uterus (Hysterectomy) might be needed.


The original surgery for uterus removal needs a wide skin incision, at least 8-10 centimeters, for approaching into the abdomen. This procedure resulting in marked pain after surgery, requires long recovery period and may leave hypertrophic scar afterward.


Nowadays, with the advanced available technology of endoscopy, surgery called Laparoscopy or Pin-hole surgery can be performed through tiny incisions on abdomen or even through natural body openings that means “No Scar Seen”. These methods give many advantages for women who already suffer from their gynecologic problems.




There are 4 different approaches for Uterus Removal Surgery:

  1. Total Abdominal Hysterectomy: an original way to remove the uterus through a long abdominal skin incision, the recovery time after surgery may take longer than other methods.
  2. Vaginal Hysterectomy: a surgical procedure to remove the uterus through the vagina. This technique is not suitable for some patients or conditions such as virgin women or enlarge uterus.
  3. Laparoscopic Hysterectomy: a surgical procedure using laparoscope to guide the removal of the uterus. Conventional laparoscope hysterectomy requires only 3-4 tiny incisions (usually 0.5–1.0 cm) on the abdomen which results to less pain, shorter recovery period, and less scarring.
  4. Scarless Laparoscopic Surgery: also called NOTES (Natural Orifice Transluminal Endoscopic Surgery) a new technique to operate through natural opening of human’s body, for women, surgeon will perform laparoscopic operation via vagina to remove the uterus. This technique is a true scarless surgery resulting to the best cosmetic advantage, less blood loss, faster recovery, and minimal complications.




Hysterectomy is a treatment option in the treatment of uterine cancer, cervical cancer as well as for some benign conditions such as fibroids and endometriosis which results in abnormal bleeding, pelvic pain and discomfort to the patient.


What Are the Symptoms of Uterine Fibroids?


Most fibroids, even large ones, produce no symptoms. These masses are often found during a regular pelvic examination.


When women do experience symptoms, the most common are the following:

  1. an increase in menstrual bleeding, known as menorrhagia, sometimes with blood clots;
  2. pressure on the bladder, which may cause frequent urination and a sense of urgency to urinate and, rarely, the inability to urinate;
  3. pressure on the rectum, resulting in constipation;
  4. pelvic pressure, "feeling full" in the lower abdomen, lower abdominal pain;
  5. increase in size around the waist and change in abdominal contour (some women may need to increase their clothing size but not because of a significant weight gain);
  6. infertility, which is defined as an inability to become pregnant after 1 year of attempting to get pregnant; and/or
  7. a pelvic mass discovered by a health care practitioner during a physical examination.


When Should I Call the Doctor About Uterine Fibroids?


1. If a woman has any questions about her uterine health, seek medical assistance as soon as possible. If a woman has any of the following, she should notify her health care practitioner:

  • Irregular or heavy menstrual cycle, bleeding between periods
  • Pelvic or abdominal pain
  • Fever or night sweats
  • Increasing abdominal girth
  • Concerns about pregnancy or inability to become pregnant


2. If a woman has any of the following signs or symptoms she should contact a health care practitioner immediately or go to a hospital's emergency department.

  • Menstrual bleeding soaking through more than 3 pads per hour
  • Severe or prolonged pelvic or abdominal pain
  • Dizziness, lightheadedness, shortness of breath, or chest pain associated with vaginal bleeding
  • Vaginal bleeding associated with pregnancy or possible pregnancy


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Cystoscopy Procedure Hospital in Bangalore

July 30, 2019 by AltiusHospital  

Cystoscopy (sis-TOS-kuh-pee) is a procedure used to see inside your urinary bladder and urethra — the tube that carries urine from your bladder to the outside of your body. During a cystoscopy procedure, your doctor uses a hollow tube (cystoscope) equipped with a lens to carefully examine the lining of your bladder and your urethra. The cystoscope is inserted into your urethra and slowly advanced into your bladder.






Areas that can be examined include:


  • Urethra or urinary channel, which includes the prostate in men
  • Bladder, which collects and stores urine
  • The 2 ureters, which are small internal tubes that conduct the urine made by each kidney into the bladder
  • A urologic surgeon, or urologist, performs cystoscopy. The procedure involves looking at the urinary tract from the inside. Abnormalities can be detected in this manner, and surgical procedures can be performed.
  • You would commonly have cystoscopy for the evaluation of blood in the urine. There are many other indications for the procedure, including the evaluation of difficulty or painful voiding, bladder or urethral tumors, bladder stones, and prostate surgery.
  • Simple procedures can be performed in the doctor's office with only a local anesthetic. Most procedures, however, are performed in a hospital operating room as an outpatient. A variety of different anesthetics can be used to make the procedure as comfortable as possible.


What is the Preparation for Cystoscopy?


Depending on the type of procedure being performed, your doctor may prescribe antibiotics for you. If the cystoscopy is going to be performed in the operating room with the use of anesthesia, the surgical department will contact you with instructions. Most of the time, you must not take anything by mouth after midnight the evening before the cystoscopy. In recent years, however, some anesthesiologists have started to allow the consumption of certain liquids up to 4 hours before the procedure.






For procedures being done with only a local anesthetic, no fasting requirement is necessary. Notify your doctor if you are taking any blood thinners, including warfarin (Coumadin), aspirin, and ibuprofen.


Recovering after a cystoscopy


Give yourself time to rest. Drink lots of fluids and stay close to the bathroom. Holding a damp, warm washcloth over your urethra can help relieve any pain. If your doctor gives you permission, take pain medications such as acetaminophen (Tylenol) or ibuprofen (Advil).


If you were given general anesthesia, have someone stay with you. after the procedure. You may feel sleepy or dizzy. Don’t drink alcohol, drive, or operate complex machinery for the rest of the day.


If you had a biopsy done, you’ll need time to heal. Avoid heavy lifting for the next two weeks. Ask your doctor when it’s safe to have sexual intercourse.


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High Risk Pregnancy Treatments in Bangalore

July 29, 2019 by AltiusHospital  

Treatment for a woman whose pregnancy is high risk because she is HIV positive would involve antiretroviral treatments during pregnancy, possibly a surgical delivery, and additional medications for her and the baby after birth.


For the vast majority of women, pregnancy follows a routine course. Some women, however, have medical difficulties related to their health or the health of their baby. These women experience what is called a high-risk pregnancy.


High-risk complications occur in only 6 percent to 8 percent of all pregnancies. These complications can be serious and require special care to ensure the best possible outcome.


While some problems are unavoidable, Altius perinatologists – obstetricians with special training and board certification in high-risk pregnancy care – work to minimize complications and help you achieve the healthiest pregnancy possible.






High risk pregnancies can be diagnosed in a number of ways by a medical practitioner. The below tests will help in the identification of high risk pregnancy, and will be prescribed by your doctor depending on your condition or symptoms.

  • Ultrasounds – A number of ultrasounds are used for high risk pregnancy diagnosis. These include targeted ultrasounds, which can construct an image of your child in the womb, and target a suspected issue, like an abnormal fetal development.
  • Blood Testing – A routine blood test may also be diagnosed, as it can indicate that you have an underlying condition, such as gestational hypertension. This can place you and your child at risk, and will require prenatal monitoring and treatment.
  • Urinalysis – Conditions like preeclampsia can be diagnosed through this test, as it can detect excess protein in the u


Signs and Symptoms:


When you learn that you are pregnant, consult your doctor about the possibility of a high-risk pregnancy. Openly discuss any pre-existing medical conditions, how they can be managed and the possible consequences on the same on labour and delivery. Our expert team at Apollo Cradle has laid out some of the signs and symptoms of high-risk pregnancy to look out for.


If you experience any of the following signs of high-risk pregnancy, it is essential to get immediate medical attention:

  • You lose consciousness – It wouldn’t be possible for you to take any action in this situation. Brief your partner, neighbour or colleague in advance of what to do in such a situation
  • You experience vaginal bleeding
  • You experience unbearable pain in your pelvis or belly
  • You have fluid leaking from your vagina – This could be because the umbilical cord is bulging into your vagina. Call for emergency help immediately. Meanwhile, get down on your knees so that your rear end (buttocks) is higher than your head. This will help reduce the pressure on the cord until help arrives.


How is high-risk pregnancy treated?




Treatment for high-risk pregnancy depends on the woman’s specific risk factors.


For example, treatment for a woman whose pregnancy is high risk because of a thyroid problem is usually medication to ensure her body has the right levels of thyroid hormones. Treatment for a woman whose pregnancy is high risk because of cigarette smoking is helping her to quit smoking. Treatment for a woman whose pregnancy is high risk because she is HIV positive would involve antiretroviral treatments during pregnancy, possibly a surgical delivery, and additional medications for her and the baby after birth.


In a high-risk pregnancy, healthcare providers will want to keep a close watch on the woman and the pregnancy to detect any potential problems as quickly as possible so that treatment can start before the woman’s or fetus’s health is in danger. This is particularly true of pregnancies that are high risk because of preeclampsia and previous preterm labor or birth. In these situations, treatment could mean additional days in the womb to allow for fetal development to continue.


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Pelvic Floor Dysfunction Treatment in Bangalore

July 25, 2019 by AltiusHospital  

Pelvic floor dysfunction is the inability to correctly tighten and relax the pelvic floor muscles to have a bowel movement. Symptoms include constipation, urine or stool leakage and a frequent need to urinate. Treatments include biofeedback, medication or surgery.


What is the pelvic floor?


Both men and women have a pelvic floor. In women, the pelvic floor is the muscles, ligaments, connective tissues and nerves that support the bladder, uterus, vagina and rectum and help these pelvic organs function. In men, the pelvic floor includes the muscles, tissues and nerves that support the bladder, rectum and other pelvic organs.


The pelvic floor muscles stretch like a muscular trampoline from the tailbone (coccyx) to the pubic bone (front to back) and from one sitting bone to the other sitting bone (side to side). These muscles are normally firm and thick.






Just like a trampoline, the pelvic floor is able to move down and up. The bowel, bladder and uterus (for women) lie on the pelvic floor muscle layer.


The pelvic floor muscle layer has hole for passages to pass through. There are two passages in men (the anus and urethra) and three passages in women (the anus, urethra, and vagina). The pelvic floor muscles normally wrap quite firmly around these holes to help keep the passages shut. There is also an extra circular muscle around the anus (the anal sphincter) and around the urethra (the urethral sphincter).


Although the pelvic floor is hidden from view, it can be consciously controlled and therefore trained, much like our arm, leg or abdominal muscles.


Pelvic floor dysfunction symptoms


There are a number of symptoms associated with pelvic floor dysfunction. If you are diagnosed with pelvic floor dysfunction, you may experience symptoms including:

  • urinary issues, such as the urge to urinate or painful urination
  • constipation or bowel strains
  • lower back pain
  • pain in the pelvic region, genitals, or rectum
  • discomfort during sexual intercourse for women
  • pressure in the pelvic region or rectum
  • muscle spasms in the pelvis


What causes pelvic floor dysfunction?


While exact causes are still being researched, doctors can link pelvic floor dysfunction to conditions or events that weaken the pelvic muscles or tear connective tissue:

  • childbirth
  • traumatic injury to the pelvic region
  • obesity
  • pelvic surgery
  • nerve damage


How is pelvic floor dysfunction treated?






Pelvic floor dysfunction can often be successfully treated without surgery. Treatments for pelvic floor dysfunction include the following:

  1. Biofeedback: The most common treatment for pelvic floor dysfunction is biofeedback, done with the help of a physical therapist. This non-painful, non-surgical technique provides improvement for more than 75% of people with pelvic floor dysfunction. Physical therapists may take several approaches to biofeedback to retrain the muscles. These include using special sensors and video to monitor the pelvic floor muscles as the patient attempts to relax or contract them. The therapist then provides feedback and works with the patient on improving his or her muscle coordination.
  2. Medication: In some cases, your physician may prescribe a low-dose muscle relaxant to deal with pelvic floor dysfunction.
  3. Relaxation techniques: Your physician or physical therapist may recommend relaxation techniques such as meditation, warm baths, yoga and exercises.
  4. Surgery: If your physician determines your pelvic floor dysfunction is the result of a rectal prolapse (the tissue that lines the rectum falls down into the anal opening) or rectocele (the end of the rectum pushes through the wall of the vagina), surgery may be necessary. By using the defecating proctogram test, your physician should be able to determine if these conditions are causing your pelvic floor dysfunction. Occasionally, your surgeon may decide to inject Botox to relax the pelvic floor muscle.


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Chronic Pelvic Pain Treatment in Bangalore

July 17, 2019 by AltiusHospital  

Just about everyone feels pain from time to time. When you cut your finger or pull a muscle, pain is your body's way of telling you something is wrong. Once the injury heals, you stop hurting.


Chronic pain is different. Your body keeps hurting for weeks, months, or even years. chronic pain is any pain that lasts for 3 to 6 months or more. Chronic pain can have real effects on your day-to-day life and your mental health. But you and your doctor can work together to treat it. 








Chronic pelvic pain is pain in the area below your bellybutton and between your hips that lasts six months or longer.


Chronic pelvic pain can have multiple causes. It can be a symptom of another disease, or it can be a condition in its own right.


If your chronic pelvic pain appears to be caused by another medical problem, treating that problem may be enough to eliminate your pain.


However, in many cases it's not possible to identify a single cause for chronic pelvic pain. In that case, the goal of treatment is to reduce your pain and other symptoms and improve your quality of life.




When asked to locate your pain, you might sweep your hand over your entire pelvic area rather than point to a single spot. You might describe your chronic pelvic pain in one or more of the following ways:

  • Severe and steady pain
  • Pain that comes and goes (intermittent)
  • Dull aching
  • Sharp pains or cramping
  • Pressure or heaviness deep within your pelvis


In addition, you may experience:

  • Pain during intercourse
  • Pain while having a bowel movement or urinating
  • Pain when you sit for long periods of time


Your discomfort may intensify after standing for long periods and may be relieved when you lie down. The pain may be mild and annoying, or it may be so severe that you miss work, can't sleep and can't exercise.







Chronic pelvic pain is a complex condition that can have multiple causes. Sometimes, a single disorder may be identified as the cause.


In other cases, however, pain may be the result of several medical conditions. For example, a woman might have endometriosis and interstitial cystitis, both of which contribute to chronic pelvic pain.


Some causes of chronic pelvic pain include:

  • Endometriosis. This is a condition in which tissue from the lining of your womb (uterus) grows outside your uterus. These deposits of tissue respond to your menstrual cycle, just as your uterine lining does — thickening, breaking down and bleeding each month as your hormone levels rise and fall. Because it's happening outside your uterus, the blood and tissue can't exit your body through your vagina. Instead, they remain in your abdomen, where they may lead to painful cysts and fibrous bands of scar tissue (adhesions).
  • Musculoskeletal problems. Conditions affecting your bones, joints and connective tissues (musculoskeletal system) — such as fibromyalgia, pelvic floor muscle tension, inflammation of the pubic joint (pubic symphysis) or hernia — can lead to recurring pelvic pain.
  • Chronic pelvic inflammatory disease. This can occur if a long-term infection, often sexually transmitted, causes scarring that involves your pelvic organs.
  • Ovarian remnant. After surgical removal of the uterus, ovaries and fallopian tubes, a small piece of ovary may accidentally be left inside and later develop painful cysts.
  • Fibroids. These noncancerous uterine growths may cause pressure or a feeling of heaviness in your lower abdomen. They rarely cause sharp pain unless they become deprived of a blood supply and begin to die (degenerate).
  • Irritable bowel syndrome. Symptoms associated with irritable bowel syndrome — bloating, constipation or diarrhea — can be a source of pelvic pain and pressure.
  • Painful bladder syndrome (interstitial cystitis). This condition is associated with recurring pain in your bladder and a frequent need to urinate. You may experience pelvic pain as your bladder fills, which may improve temporarily after you empty your bladder.
  • Pelvic congestion syndrome. Some doctors believe enlarged, varicose-type veins around your uterus and ovaries may result in pelvic pain. However, other doctors are much less certain that pelvic congestion syndrome is a cause of pelvic pain because most women with enlarged veins in the pelvis have no associated pain.
  • Psychological factors. Depression, chronic stress or a history of sexual or physical abuse may increase your risk of chronic pelvic pain. Emotional distress makes pain worse, and living with chronic pain contributes to emotional distress. These two factors often become a vicious cycle.


Lifestyle and home remedies

Chronic pain can have a major impact on your daily life. When you're in pain, you may have trouble sleeping, exercising or performing physical tasks.


Chronic pain can also cause anxiety and stress, which in turn may worsen your pain.


Relaxation techniques can help release tension, reduce pain, calm emotions and induce sleep. Many techniques can be learned on your own, such as meditation and deep breathing.


For More data Contact Us:


Telephone: +91 8023151873 | +91 9900031842


Fax: +91 8023116750


Email: altiushospital@yahoo.com | endoram2006@yahoo.in


Follow the links:


Gynecologist in Bangalore | IVF Treatment Center in Bangalore | Fibroid Uterus Removal in Bangalore | Best Uterus Removal Surgery in Bangalore | Gynecology Hospitals in Bangalore | Pelvic Floor Dysfunction Treatment in Bangalore | IVF Treatment Center in Rajaji Nagar | Laparoscopic Treatment in Bangalore

Cystoscopy Procedure Hospital in Bangalore

July 12, 2019 by AltiusHospital  

Cystoscopy is a method that enables your primary care physician to inspect the coating of your bladder and the cylinder that does pee of your body. An empty cylinder furnished with a focal point is embedded into your urethra and gradually progressed into your bladder. 


Cystoscopy might be done in a testing room, utilizing a nearby sedative jam to numb your urethra. Or on the other hand it might be done as an outpatient technique, with sedation. Another alternative is to have cystoscopy in the medical clinic in Bangalore






Cystoscopy is utilized to analyze, screen and treat conditions influencing the bladder and urethra. Your primary care physician may prescribe cystoscopy to: 


*Explore reasons for signs and side effects. Those signs and side effects can incorporate blood in the pee, incontinence, overactive bladder and agonizing pee. Cystoscopy can likewise help decide the reason for successive urinary tract diseases. In any case, cystoscopy for the most part isn't done while you have a functioning urinary tract disease.






*Diagnose bladder illnesses and conditions. Models incorporate bladder malignancy, bladder stones and bladder aggravation (cystitis). 


*Treat bladder illnesses and conditions. Exceptional apparatuses can be gone through the cystoscope to treat certain conditions. For instance, little bladder tumors may be evacuated during cystoscopy. 


*Diagnose a broadened prostate. Cystoscopy can uncover a narrowing of the urethra where it goes through the prostate organ, showing an augmented prostate (benevolent prostatic hyperplasia). 


*Your specialist may lead a subsequent strategy called ureteroscopy (u-ree-tur-OS-kuh-pee) in the meantime as your cystoscopy. Ureteroscopy utilizes a littler extension to look at the cylinders that convey pee from your kidneys to your bladder (ureters).


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Hysteroscopic Tubal Cannulation in Bangalore

July 11, 2019 by AltiusHospital  



Hysteroscopy is performed approximately half the time for the diagnosis of infertility. It is generally best performed in the postmenstrual proliferative phase. Different locations for hysteroscopy include the office, surgery center, or hospital operating room. Different media include CO2 gas, Sorbitol, glycine, Mannitol/Sorbitol mixture, 5% dextrose in water, or 32% Dextran-70. Endoscopes can range from 2 mm in size to 6.5 mm in size. The choice of location, medium, and instrumentation depends on the availability of facilities and resources, the anticipated diagnosis, and the surgical plan. The optimum approach involves one which has a high probability of resolving the clinical issue at hand, with the major difference in approach depending on whether or not operative intervention will be required, safety, and cost. 


Adjunctive procedures such as hysterosalpingography and sonohysterography can be of significant help in identifying the patient who requires hysteroscopy, and the best hysteroscopic approach for that patient given the clinical conditions.


The uterine tube (fallopian tube) carries an egg from the ovary to the uterus. Unless a biological abnormality, surgery, or ectopic pregnancy caused the loss of one tube, women should have two uterine tubes in their bodies.





Fallopian tube cannulation is a surgical procedure aimed at treating women with subfertility (difficulty conceiving a pregnancy) with proximal tubal occlusion (blockage in the part of the fallopian tubes closest to the womb).


Fallopian tube obstruction is a major cause of female infertility. Blocked fallopian tubes are unable to let the ovum and the sperm fuse, thus making fertilization impossible.




Hysteroscopy procedure is suggested when a woman has abnormal periods, i.e. either her periods are too heavy, or the length of her cycle is too long that means if she is bleeding more frequently, or bleeding less regularly and if she bleeds in between her periods. So, the indication of doing hysteroscopy can be summarised as:

  1. If a woman is having abnormal Periods.
  2. If she is bleeding after Menopause.
  3. To diagnose the presence of fibroids, polyps or scar tissues.
  4. It can also help to determine any kind of uterine malformation.
  5. Recurrent miscarriages.
  6. If a biopsy is suggested.
  7. As a part of an Infertility workup.
  8. To locate the position of an Intrauterine Device (IUD).
  9. In case of abnormal Pap smear test.
  10. To perform sterilisation as a part of birth control.







Hysteroscopy can be either diagnostic or operative.


DIAGNOSTIC HYSTEROSCOPY – As the name suggests it is done to diagnose uterine problems. To confirm the diagnosis of the problem, a diagnostic hysteroscopy is recommended after an HSG (hysterosalpingography) test. The procedure takes approximately 30 minutes to perform and is usually done on a day-care basis. This procedure can help identify abnormalities in the uterine cavity like:

  • Uterine Fibroids
  • Uterine Polyps
  • Uterine adhesions
  • Any malignant mass




Any medical procedure will have some risk associated with it. The complications that can arise after a hysteroscopy procedure are:

  1. You may have a problem with the anaesthesia given.
  2. Though very rare, there may be tearing or damage to your cervix.
  3. You may contract an infection of the uterus or fallopian tubes after the procedure.
  4. Bleeding may occur, and there might be a uterine perforation.
  5. You may face a problem with the carbon dioxide gas or saline solution that was inserted. Excessive fluid absorption by the body may cause nausea and vomiting,.
  6. The hysteroscope could damage the nearby organs like the ovaries, bladder or bowels.
  7. You could develop a Pelvic Inflammatory Disease.




Patients who have undergone hysteroscopy complain of mild nausea, dizziness and uterine cramping which can be managed well with pain medications. Some patients may have light spotting for a day or two. If carbon dioxide gas was used, then one can have shoulder pain. Patients can go home the same day after the procedure if local anaesthesia was given and resume regular activity within 48 hours. In case of general anaesthesia, and if there is a history of reaction to anaesthesia, then a doctor may keep you under observation for a day.






It is our current practice to always evaluate the uterine cavity through either hysterosalpingogram, sonohysterography, or hysteroscopy in the infertile patient, the patient with recurrent pregnancy loss, and in all patients prior to in vitro fertilization.


The recent development of falloposcopy should dramatically increase the utilization of falloposcopy in evaluation of pelvic status in the infertile patient. The optimum diagnostic and treatment paradigm for this new technology is evolving.


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Laparoscopic Treatment in Bangalore

July 2, 2019 by AltiusHospital  

What is laparoscopy ?

A laparoscopy is a diagnostic procedure.

A surgeon uses a thin device with an attached light and camera to help them more clearly visualize organ damage and disease.

During a laparoscopy, the healthcare provider inserts the laparoscope into the abdomen through a small incision in the abdomen. They will then use a catheter, allowing for clearer imaging of the organs in the abdomen and pelvis.



A laparoscopy can take place for many reasons, health conditions, and diagnoses, including tubal ligation, diagnostic procedures, and the treatment of certain conditions.


Common reasons for undergoing a laparoscopy include:

the diagnosis and treatment of endometriosis, chronic pelvic pain, pelvic inflammatory disease, and causes of infertility

the removal of fibroids, uterus, ovarian cysts, lymph nodes, or an ectopic pregnancy

the treatment of a range of disorders, including urinary incontinence, pelvic organ prolapse, and certain forms of cancer

evaluating certain cancers, including those of the ovary, uterus, and cervix.


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Gynaecology Hospitals in Bangalore

June 28, 2019 by AltiusHospital  

Gynecologists are doctors who specialize in women's health, with a focus on the female reproductive system.

They deal with a wide range of issues, including obstetrics, or pregnancy and childbirth, menstruation and fertility issues, sexually transmitted infections (STIs), hormone disorders, and others.


In the United States, some women prefer to visit a well-woman clinic rather than a family doctor for general health issues. The gynecologist may then refer the patient to another specialist.


A qualified gynecologist has at least 8 years of training and should be certified by an examining body, such as the American Board of Gynecologists (ABOG) and registered by a professional organization, such as the American College of Obstetricians and Gynecologists (ACOG).


Fast facts about gynecologists:

Here are some key points about gynecologists. More detail is in the main article.

A gynecologist is a doctor who specializes in the health of the female organs.

Many women start visiting a gynecologist from their early teens and continue to attend a well-woman clinic for general health issues too.

Women are advised to visit a gynecologist annually for a checkup, and any time they have symptoms that concern them.

A gynecologist should be certified and registered with a professional body, such as the American College of Obstetricians and Gynecologists (ACOG).



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